There are many problems that cause vaginal dryness such as hypothyroidism, Sjogren’s syndrome, vaginitis or inflammation of vagina, dermatitis of skin around vagina, condom allergy, or allergy to soaps
and lotions.
Menopause and low estrogen is another cause
and you must continue to use Premarin while you rule out other causes. Sometimes the foreplay is not adequate for the female to be aroused as the arousal time of the two partners is different. Hence you need to pace yourself with your wife.